Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
87% occupied
Based on a September 2024 inspection.
Occupancy rate over time
Inspection Report
Routine
Census: 52
Deficiencies: 4
Date: Sep 12, 2024
Visit Reason
The inspection was conducted to assess compliance with healthcare regulations including treatment of residents, infection control, vaccination policies, and environmental safety.
Findings
The facility was found deficient in providing appropriate treatment for constipation, ensuring proper cleaning of used bedpans, administering or offering influenza and pneumococcal vaccinations per CDC guidelines, and maintaining a clean environment free of fecal matter on toilet risers.
Deficiencies (4)
F 0684: The facility failed to provide appropriate treatment for constipation for Resident #6, who had documented periods of no bowel movement without treatment despite standing physician orders.
F 0880: The facility failed to ensure used bedpans were cleaned after use, with observations of uncovered, used bedpans left on toilet risers affecting Resident #210 and others.
F 0883: The facility failed to ensure residents received or were offered influenza and pneumococcal vaccinations per CDC recommendations, affecting Residents #5 and #26.
F 0921: The facility failed to ensure fecal matter was cleaned off the toilet riser following use, affecting Resident #210 and indicating lack of a facility policy for a clean, homelike environment.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Facility census: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Unit Manager #505 | Interviewed regarding Resident #6's constipation treatment | |
| Licensed Practical Nurse (LPN) #554 | Verified bedpan and fecal matter observations for Resident #210 | |
| Licensed Practical Nurse (LPN) #504 | Verified vaccination consent and declination information for Residents #5 and #26 | |
| Director of Nursing | Identified residents using bedpans | |
| Administrator | Stated facility lacks policy for clean, homelike environment |
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 1
Date: Sep 21, 2023
Visit Reason
The inspection was conducted following a complaint investigation regarding an allegation of physical abuse towards Resident #24 by a staff member.
Complaint Details
The complaint was substantiated. STNA #320 was found to have physically abused Resident #24 during morning care on 08/22/23. The abuse was reported by STNA #340 after a delay due to fear of retaliation. The facility took immediate corrective actions including suspension and termination of STNA #320.
Findings
The facility substantiated the allegation that STNA #320 physically abused Resident #24 during care, resulting in a skin tear. The facility took corrective actions including suspension and termination of the staff member and inservicing all staff on abuse policies.
Deficiencies (1)
F 0600: The facility failed to protect Resident #24 from physical abuse by a staff member who roughly transferred the resident into a wheelchair causing a skin tear. The abuse was substantiated and the staff member was terminated.
Report Facts
Residents present: 52
Skin tear size: 6
Skin tear width: 2
Skin tear depth: 0.3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| STNA #320 | Tested Nursing Aide | Named in physical abuse finding and terminated for abuse |
| STNA #340 | Tested Nursing Aide | Reported the abuse allegation and assisted in care |
| RN #170 | Registered Nurse | Responded to injury and assessed skin tear |
| ADON #120 | Assistant Director of Nursing | Received abuse report and coordinated investigation |
Inspection Report
Routine
Census: 47
Deficiencies: 3
Date: Mar 10, 2022
Visit Reason
The inspection was conducted to assess compliance with care standards related to pressure ulcer prevention, restorative care, and fall prevention at Elizabeth Scott Community nursing home.
Findings
The facility failed to implement pressure ulcer prevention and treatment protocols, provide restorative care as planned, and ensure fall prevention interventions were in place. These deficiencies affected multiple residents and involved failures in documentation, care delivery, and adherence to physician orders.
Deficiencies (3)
F 0686: The facility failed to provide appropriate pressure ulcer care and prevent new ulcers from developing, affecting two residents. Staff did not apply ordered skin prep to heels, and a pressure ulcer was not properly staged or treated timely.
F 0688: The facility failed to provide restorative care as planned for two residents, with inconsistent delivery of active and passive range of motion exercises documented over several weeks.
F 0689: The facility failed to ensure fall interventions were in place as ordered for one resident at high risk for falls. A mat ordered to be placed next to the bed was missing, increasing fall risk.
Report Facts
Residents affected: 2
Residents affected: 2
Residents affected: 1
Census: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Scott Community | Facility | Provider/Supplier named in report header |
| Licensed Practical Nurse #268 | LPN | Interviewed regarding pressure ulcer care for Resident #142 |
| Wound Nurse Practitioner #567 | WNP | Observed and assessed pressure ulcer on Resident #142 |
| State Tested Nursing Assistant #230 | STNA | Interviewed about Resident #21 not wearing heel protectors |
| State Tested Nursing Assistant #232 | STNA | Interviewed about Resident #21 heel protector use |
| Licensed Practical Nurse #261 | LPN | Interviewed regarding restorative care for Resident #24 |
| State Tested Nursing Assistant #202 | STNA | Interviewed regarding restorative care for Resident #24 |
| State Tested Nurse Aide #203 | STNA | Interviewed regarding fall prevention interventions for Resident #142 |
Inspection Report
Routine
Census: 59
Deficiencies: 1
Date: Jun 13, 2019
Visit Reason
The inspection was conducted to assess compliance with residents' rights to a dignified dining experience and to evaluate the facility's adherence to policies regarding meal service and assistance.
Findings
The facility failed to ensure residents requiring assistance received their meals in a timely manner, resulting in one resident waiting over thirty minutes for lunch while others at the same table ate. The facility policy did not address timeliness of meal delivery for residents needing staff assistance.
Deficiencies (1)
F 0550: The facility failed to ensure residents had a dignified dining experience when residents were not served their meals at the same time as others at their table. Resident #25 waited over thirty minutes for her meal while others ate.
Report Facts
Residents affected: 1
Residents eating lunch in main dining room: 22
Residents requiring assistance with eating: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| State Tested Nursing Assistant (STNA) #110 | Verified Resident #25 had not received her food and provided eating assistance |
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